Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-16T06:22:55.443Z Has data issue: false hasContentIssue false
  • English
  • Français

Effect of tympanic membrane perforation on middle-ear sound transmission

Published online by Cambridge University Press:  22 May 2009

Y Matsuda ,
T Kurita ,
Y Ueda ,
S Ito  and
T Nakashima
Y Matsuda*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
T Kurita
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
Y Ueda
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
S Ito
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
T Nakashima
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
*
Address for correspondence: Dr Yoichi Matsuda, Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. Fax: +81 942 37 1200 E-mail: matsu@med.kurume-u.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Tympanic membrane perforation causes a sound conduction disturbance, and the size of this conduction disturbance is proportional to the perforation area. However, precise evaluation of perforation size is difficult, and there are few detailed reports addressing this issue. Furthermore, such evaluation becomes more difficult for irregularly shaped perforations. This study conducted a quantitative evaluation of tympanic membrane perforations, using image analysis equipment.

A significant correlation was found between the degree of sound conduction disturbance and the perforation area; this correlation was greater at low frequencies following a traumatic perforation. The conductive disturbance associated with chronic otitis media was significantly greater at low frequencies. Circular perforations caused only minor conduction disturbance. Perforations in the anteroinferior quadrant were associated with greater conduction disturbance. Traumatic spindle-shaped perforations and malleolar perforations were associated with greater conduction disturbance.

Keywords

Tympanic Membrane PerforationTraumatic PerforationChronic Otitis MediaConductive Hearing Loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Supplement S31 , May 2009 , pp. 81 - 89
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Bhusal, CL, Guragain, RPS, Shrivastav, RP. Size of tympanic membrane perforation and hearing loss. J Nep Med Assoc 2006;45:167–72Google ScholarPubMed
2Mehta, RP, Rosowski, JJ, Voss, SE, O'Neil, E, Merchant, SN. Determinants of hearing loss in perforations of tympanic membrane. Otol Neurotol 2006;27:136–43CrossRefGoogle ScholarPubMed
3Ahmad, SW, Ramani, GV. Hearing loss in perforations of the tympanic membrane. J Laryngol Otol 1979;93:1091–8CrossRefGoogle ScholarPubMed
4Berger, G, Finkelstein, Y, Avraham, S, Himmelfarb, M. Patterns of hearing loss in non-explosive blast injury of ear. J Laryngol Otol 1997;111:1137–41CrossRefGoogle Scholar
5Griffin, WL Jr.A retrospective study of traumatic tympanic membrane perforations in a clinical practice. Laryngoscope 1979;89:261–82CrossRefGoogle Scholar
6Yoshikawa, K, Takimoto, I, Ishigami, H, Yamada, K. A study of traumatic perforation of the eardrum. Pract Otol 1985;78:123–30CrossRefGoogle Scholar
7LeBourgeois, HW 3rd, Anand, VK, McAuley, JR, Dickman, JD, Malphurs, O Jr.Effect of tympanic perforations on the detection of distortion-product otoacustic emissions. ENT-Ear Nose & Throat Journal 2000;79:610–18CrossRefGoogle Scholar
8Funai, H, Funasaka, S, Ushijima, T. Effect of tympanic membrane perforation on hearing threshold. Otolaryngol Head Neck Surg (Tokyo) 1982;54:125–32Google Scholar
9Bigelow, DC, Swanson, PB, Saunders, JC. The effect of tympanic membrane perforation size on umbo velocity in rat. Laryngoscope 1996;106:71–6CrossRefGoogle Scholar
10Pyne, MC, Githler, FJ. Effects of perforations of tympanic membrane on cochlear potentials. Arch Otolaryngol 1951;50:666–74CrossRefGoogle Scholar
11Wada, H, Koike, T, Matsutani, S, Kobayashi, T, Takasaka, T. Dynamic behavior of middle ear with tympanic membrane perforation. Audiology Japan 1997;40:46–51CrossRefGoogle Scholar
12Tsuchiya, K, Nakagawa, C, Wada, H, Nishimoto, Y, Kujirai, K, Ogahara, N et al. A clinical study of traumatic perforation of the eardrum. Otologia Fukuoka 1990;36:1–6Google Scholar
13Voss, SE, Rosowski, JJ, Merchant, SN, Peake, WT. Middle-ear function with tympanic membrane perforations: I – measurements and mechanisms. J Acoust Soc Am 2001;110:1432–44CrossRefGoogle ScholarPubMed
14Voss, SE, Rosowski, JJ, Merchant, SN, Peake, WT. Middle-ear function with tympanic membrane perforations: II – a simple model. J Acoust Soc Am;110:1444–52Google Scholar
15Voss, SE, Rosowski, JJ, Merchant, SN, Peake, WT. How does tympanic membrane perforation affect human middle ear sound transmission? Acta Otolaryngol 2001;121:169–73Google ScholarPubMed
16Funai, H, Funasaka, S. Perforation of the tympanic membrane and hearing loss. Audiology Japan 1981;2:1–6CrossRefGoogle Scholar
17Tonndorf, J, MaArdle, F, Kruger, B. Middle ear transmission losses caused by tympanic membrane perforations in cats. Acta Otolaryngol 1976;81:330–6CrossRefGoogle ScholarPubMed
18McArdle, FE, Tonndorf, J. Perforations of the tympanic membrane and their effects upon middle ear transmission. Archiv für klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde 1968;192:145–62CrossRefGoogle ScholarPubMed
19Yamamoto, N, Ishii, T, Machida, T. Measurement of the mechanical properties of the tympanic membrane with a microtension tester. Acta Otolaryngol 1990;110:85–91CrossRefGoogle ScholarPubMed
20Graham, MD, Reams, C, Perkins, R. Human tympanic membrane-malleus attachment. Preliminary study. Ann Otol 1978;87:426–31Google ScholarPubMed
21Tonndorf, J, Khanna, SM. The role of the tympanic membrane in middle ear transmission. Ann Otol Rhinol Laryngol 1970;79:743–53CrossRefGoogle ScholarPubMed
22Schuknecht, HF. Pathology of the Ear, 2nd edn.Philadelphia: Lea & Febiger, 1993Google Scholar
23Maeta, M. Effect of the tympanic membrane on its vibration. Nippon Jibiinkouka Gakkai Kaiho 1991;94:231–40CrossRefGoogle ScholarPubMed
24Koike, T, Wada, H, Kobayashi, T. Transfer function of the human middle ear – Theoretical analysis using finite element method. Nippon Onkyo Gakukaisi 1996;52:695–702Google Scholar